Neurocognitive and Psychiatric Issues Post Cardiac Surgery

被引：42

作者：

Indja, Ben ^{[1
,2
,3
]}

Seco, Michael ^{[1
,2
,4
,7
]}

Seamark, Richard ^{[5
]}

Kaplan, Jason ^{[6
]}

Bannon, Paul G. ^{[1
,2
,4
,7
]}

Grieve, Stuart M. ^{[1
,3
,8
]}

Vallely, Michael P. ^{[1
,2
,4
,6
,7
]}

机构：

[1] Univ Sydney, Sydney Med Sch, Sydney, NSW, Australia

[2] Baird Inst Appl Heart & Lung Surg Res, Sydney, NSW, Australia

[3] Univ Sydney, Sydney Translat Imaging Lab, Heart Res Inst, Charles Perkins Ctr, Sydney, NSW, Australia

[4] Royal Prince Alfred Inst Acad Surg, Sydney, NSW, Australia

[5] Sunshine Coast Mental Hlth & Addict Serv, Sydney, NSW, Australia

[6] Macquarie Univ Hosp, Sydney, NSW, Australia

[7] Royal Prince Alfred Hosp, Cardiothorac Surg Unit, Sydney, NSW, Australia

[8] Royal Prince Alfred Hosp, Dept Radiol, Sydney, NSW, Australia

来源：

HEART LUNG AND CIRCULATION | 2017年 / 26卷 / 08期

关键词：

Cardiac surgical procedures; Mental disorders; Neuropsychiatry; Postoperative cognitive dysfunction; POSTOPERATIVE COGNITIVE DYSFUNCTION; ARTERY-BYPASS-SURGERY; QUALITY-OF-LIFE; POSTTRAUMATIC-STRESS-DISORDER; WHITE-MATTER HYPERINTENSITIES; SILENT CEREBRAL INFARCTION; LATE-ONSET MANIA; RISK-FACTORS; GRAFT-SURGERY; MYOCARDIAL-INFARCTION;

D O I：

10.1016/j.hlc.2016.12.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Neurocognitive and psychiatric complications are common following cardiac surgery and impact on patient quality of life, recovery from surgery, participation in rehabilitation and long-term mortality. Postoperative cognitive decline, depressive disorders, post-traumatic stress disorder and neurocognitive impairment related to silent brain infarcts have all been linked to the perioperative period of cardiac surgery, and potentially have serious consequences. The accurate assessment of these conditions, particularly in determining the aetiology, and impact on patients is difficult due to the poorly recognised nature of these complications as well as similarities in presentation with postoperative delirium. This review aims to summarise current understanding surrounding psychiatric disturbances following cardiac surgery including the impact on patient quality of life and long-term outcomes.

引用

页码：779 / 785

页数：7

共 78 条

[1] Executive dysfunction is independently associated with reduced functional independence in heart failure [J].